康复护理干预对尿毒症血液透析患者并发症及生活质量的影响探讨

Effect of rehabilitation nursing intervention on complications and quality of life in uremic patientsundergoing hemodialysis

目的探讨康复护理干预对尿毒症血液透析患者并发症及生活质量的影响。方法80例尿毒症血液透析患者,随机法分为实验组与对照组,各40例。对照组给予常规护理干预,实验组施康复护理干预。比较两组护理前后焦虑情绪评分、抑郁情绪评分、生活质量评分、满意度、并发症发生率。结果护理后,两组焦虑情绪、抑郁情绪评分均降低,两组生活质量评分均升高,且实验组生活质量评分(92.19±5.35)分高于对照组的(83.21±5.01)分,焦虑情绪评分(37.56±3.01)分、抑郁情绪评分(36.21±1.21)分低于对照组的(46.45±4.21)、(45.55±2.84)分,差异均有统计学意义(P<0.05)。实验组满意度100.00%(40/40)高于对照组的80.00%(32/40),差异有统计学意义(P<0.05)。实验组血液透析并发症发生率2.50%(1/40)低于对照组的20.00%(8/40),差异有统计学意义(P<0.05)。结论血液透析患者实施康复护理干预效果确切,可有效减少血液透析相关并发症的发生,并提高患者的生活质量,缓解患者的不良情绪,提高患者满意度。

Objective To discuss the effect of rehabilitation nursing intervention on complications and quality of life in uremic patients undergoing hemodialysis.Methods A total of 80 uremic patients undergoing hemodialysis were randomly divided into experimental group and control group,with 40 cases in each group.The control group received conventional nursing intervention,and the experimental group received rehabilitation nursing intervention.The anxiety score and depression score before and after nursing,quality of life,satisfaction rate and occurrence of complications were compared between the two groups.Results After nursing,the anxiety and depression scores of the two groups were lower than those before nursing,and quality of life scores were higher than those before nursing;the quality of life score(92.19±5.35)points of the experimental group was higher than(83.21±5.01)points of the control group,and depression score(37.56±3.01)points and anxiety score(36.21±1.21)points were lower than(46.45±4.21)and(45.55±2.84)points of the control group.All the difference was statistically significant(P<0.05).The satisfaction rate 100.00%(40/40)of the experimental group was higher than 80.00%(32/40)of the control group,and the difference was statistically significant(P<0.05).The incidence of hemodialysis complications 2.50%(1/40)of the experimental group was lower than 20.00%(8/40)of the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation nursing intervention shows affirmative effect on patients undergoing hemodialysis, which can effectively reduce theoccurrence of hemodialysis-related complications, improve quality of life, relieve negative emotion and improvesatisfaction of patients.